• Title/Summary/Keyword: 안면마비

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FIBROUS DYSPLASIA CAUSING FACIAL ASYMMETRY : A CASE REPORT (안면비대칭을 유발한 섬유성이형성증 : 증례보고)

  • Park, Min-Kyoung;Jeong, Younwook;Lee, Hyo-Seol;Song, Je-Seon;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.22-25
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    • 2014
  • Fibrous dysplasia(FD) is a benign fibro-ossifying disease in which fibrous tissue replaces normal bone and marrow. Craniofacial bones, including the maxilla and mandible, are commonly involved. A 7 year-old girl visited the clinic with a chief complaint of gingival swelling around the lower left primary molar. Mild bulging of the lower left periodontal tissue was observed. Not only the mandible, but also the maxilla, zygoma, sphenoid, and temporal bones were affected by FD. Permanent tooth germs were involved in the lesions and facial asymmetry was caused by lower left bone expansion. She was scheduled for a follow-up visit at the department of pediatric dentistry and oromaxillofacial surgery.

A CASE REPORT OF RECONSTRUCTION OF FACIAL PARALYZED PATIENT (안면신경마비 환자의 재건에 관한 증례보고)

  • Choi, Moon-Gi
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.3
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    • pp.288-297
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    • 2005
  • Rehabilitation of the paralyzed face as a result of trauma or surgery remains a daunting task. Complete restoration of emotionally driven symmetric facial motion is still unobtainable, but current techniques have enhanced our ability to improve this emotionally traumatic deficit. Problems of mass movement and synkinesis still plague even the best reconstructions. The reconstructive techniques used still represent a compromise between obtainable symmetry and motion at the expense of donor site deficits, but current techniques continue to refine and limit this morbidity. In chronically paralyzed face, direct nerve anastomosis, nerve graft, or microvascular-muscle graft is not always possible. In this case, regional muscle transposition is tried to reanimate the eyelid and lower face. Regional muscle includes maseeter muscle, temporalis muscle and anterior belly of the digastric muscle. Temporalis muscle is preferred because it is long, flat, pliable and wide-motion of excursion. In order to reanimate the upper and lower eyelid, Upper eyelid Gold weight implantion and lower eyelid shortening and tightening is mainly used recently, because this method is very simple, easy and reliable.

Effects of Needle-Embedding Therapy on Sequelae of Peripheral Facial Palsy : A Case Series (안면마비 후유증에 대한 매선치료의 효과)

  • Lee, Chang-Woo;Lee, Seung-Min;Jeon, Ju-Hyun;Kim, Jung-Il;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.28 no.4
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    • pp.93-103
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    • 2011
  • Objectives : The aim of this study was to observe the effect of Needle-embedding therapy on sequelae of peripheral facial palsy. Methods : 27 patients with sequelae of peripheral facial palsy were treated with Needle-embedding therapy. Yanagihara score, number of symptoms, symptoms score were compared between before and after treatment to evaluate the effect of Needle-embedding therapy. Results : After treatment, Yanagihara score, number of symptoms, symptom score were significantly decreased(p<0.05). Conclusions : Needle-embedding therapy could be effective to improve symptoms of sequelae of peripheral facial palsy patients.

Recurrent Unilateral Peripheral Facial Palsy Caused by Minor Salivary Gland Tumor: A Case Report (작은침샘 종양으로 인해 재발한 말초성 편측 안면마비 1예)

  • Seo, Jong-Geun;Kim, Sun-Young;Park, Sung-Pa;Suh, Chung-Kyu;Lee, Ho-Won
    • Annals of Clinical Neurophysiology
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    • v.10 no.1
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    • pp.48-51
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    • 2008
  • Since the majority of cases with unilateral peripheral facial palsy are idiopathic, radiological studies such as CT or MRI are not usually recommended for further evaluation. We report a patient with peripheral facial palsy caused by minor salivary gland tumor which was demonstrated by appropriate imaging study.

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A CASE REPORT OF LAGOPTHALMOS RELATED WITH FACIAL NERVE PARALYSIS (안면신경마비로 인한 토안의 치험례)

  • Choi, Moon-Gi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.6
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    • pp.430-437
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    • 2003
  • Patient with facial paralysis may develop opthalmic complications. Poor eyelid closure, ectopion and lagophthalmos place the patinet at increased risk for development of corneal problems such as epitheilail defects, stromal thinning, bacterial infection, and even perforation. Inilital treatment should be conservative and include the use of ocular lubricants and taping of the lower eyelid into the proper position. Surgical intervention may be required in patients who have failed medical therapy or in whom the facial paralysis is not expected to improve. Gold weight implantation in upper eyelid and lower lid tightening in lower eyelid has become a popular procedure to correct upper eyelid retraction and lower eyelid laxity and to improve corneal coverage. We describe technique for placement of a gold weight in the upper lid, with attention of the maintenance of symmetric eyelid crease and susture canthopexy to correct malpositioned lower eyelid.

Clinical Cases about Facial Palsy by Using Yeoldahanso-tang(熱多寒少湯) (열다한소탕을 이용한 안면마비 치험례)

  • Kim, Hyo-Soo;Kim, Il-Hwan
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.3
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    • pp.133-138
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    • 2004
  • 1. Objectives Facial Palsy(Bell's palsy) is a common disease in oriental medicine. In Sasang Constitutional Medicine, Taeumin have a basic condition by Ganyeol as their inherent symptomatic phamacology. This case is a study about Taeumin's facial palsy in Ganyeol conditions. 2. Methods In treatment of facial palsy, especially in acute stage, We prescribe Yeoldahanso-tang(熱多寒少湯) when a patient with facial palsy is diagnosed as Taeumin by their own characters. 3. Conclusions This case-study shows an efficient results by using Yeoldahanso-tang(熱多寒少湯) in treatment of facial palsy compared with other known treatments.

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Case Study of Jung-an Acupuncture on the Sequelae of Peripheral Facial Palsy (말초성 안면마비 후유증에 대한 정안침요법 증례 보고)

  • Cho, Eun;Kang, Jae Hui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.30 no.3
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    • pp.155-163
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    • 2013
  • Objectives : This study was designed to evaluate the effect of Jung-an acupuncture on the sequelae of peripheral facial palsy. Methods : Four patients suffering from sequelae of peripheral facial palsy were treated with Jung-an acupuncture. Yanagihara's total scores, the scale of Peitersen grades and picture, before and after the Jung-an acupuncture treatment were compared to evaluate its treatment efficacy. Results : Yanagihara's total score of all subjects were increased. Peitersen grades of all subjects were decreased. Conclusions : As indicated by unequivocal increase in all subjects' Yanagihara and Peitersen scores, Jung-an Acupuncture treatment is effective in alleviating the sequelae of peripheral facial palsy. Randomized-controlled trial for further evaluation is necessary to verify the results and findings of this study.

Facial Nerve Decompression via Middle Fossa Approach : Report of Three Cases (말초성 안면마비에서 중두개와 접근법에 의한 안면신경 감압술 : 3례 보고)

  • Cho, Joon;Park, Sung-Ho;Kim, Jae-Young
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.479-485
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    • 2001
  • Objective : Several conservative treatments have been tried in peripheral facial nerve paralysis, because 80% of patients recover spontaneously. Surgical decompression may be helpful to the residual, medically intractable patients. We present here our experiences of facial nerve decompression via middle fossa approach, which seems to be one of good surgical therapeutic options for medically refractory peripheral facial nerve paralysis. Method : Three cases of medically intractable peripheral type facial paralysis were microscopically operated via middle cranial fossa approach to decompress the labyrinthine segment of the facial nerve and geniculate ganglion by searching landmarks of middle meningeal artery, greater superficial petrosal nerve and facial hiatus. Results : After operation, two cases of Bell's palsy improved substantially and one case of post-traumatic facial paralysis improved partially. Conclusion : This report is presented to describe the surgical facial nerve decompression via middle fossa for early control of peripheral type facial paralysis. Surgical decompression of edematous peripherally paralysed facial nerve could be preferred to conservative treatment in some patients although more surgical experience should be required.

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